Individual
TAMARA RENEE GREENLEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7 PATIO LN, RIVERTON, WY 82501-8954
(307) 709-0210
Mailing address
7 PATIO LN, RIVERTON, WY 82501-8954
(307) 709-0210
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/27/2019
Last updated
12/27/2019
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